Moody, Ty Alexander

Moody, Ty Alexander is an individual health care provider with primary practice located at 1900 Grassland Dr , Mitchell SD 57301-6335. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moody, Ty Alexander can be contacted via phone (605) 995-7000.

Contact Information

Primary practice address
1900 Grassland Dr Mitchell SD 57301-6335
Phone: (605) 995-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0604 South Dakota

Profile Details

NPI number 1932787017
LBN Legal business name Moody, Ty Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2021
Last updated May 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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